The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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This paper evaluates World Bank
activities to prevent and mitigate the effects of AIDS in
all regions of the developing world during fiscal years 1986
to 1996. It first... Show More + prioritizes HIV-prevention and treatment
interventions using the principles of public economics.
Based on this framework, it assesses the appropriateness of
Bank lending and grants, Bank Country Assistance Strategies,
and country economic and sector work. While the Bank
provided extensive assistance for efforts to collect
information (surveillance and behavioral studies), support
was less extensive for interventions that focus on reducing
risky behaviors of those at highest risk for contracting and
transmitting HIV. Few of the projects reviewed in the paper
relied on strong economic analysis in ex-ante or ex-post
evaluation. These findings suggest two primary challenges
for the World Bank: (i) to focus its support for HIV
prevention interventions that reach groups at highest risk
to contract and spread HIV; and (ii) to improve the economic
analysis used in preparing Bank HIV-related projects and in
evaluating their effectiveness. Show Less -